Membership Info

Wage$ Employer Form

WAGE ()

Authorized Personnel Name:(Required)
County:(Required)
Program Mailing Address:(Required)
Authorized Personnel Role:(Required)

Ages of children in care of this applicant:(Required)

Applicant's Role

Lead Teacher
Employees in a child care center who are directly involved in the care, development, and education of children ages 6 weeks to 5 years, working 10-40 hours per week. Must be on the payroll of a child care center, family child care home, or group family child care home. Must be at least 18 years old, demonstrate a certain level of educational attainment, and be able to supervise children independently. They cannot hold dual roles within the center. (e.g., Director & Lead Teacher, or Education Coordinator & Floater)
Assistant Teacher
Employees in a child care center who are directly involved in the care, development, and education of children ages 6 weeks to 5 years, working 10-40 hours per week. Must be on the payroll of a child care center, family child care home, or group family child care home. Must be at least 18 years old, demonstrate a certain level of educational attainment, and be able to supervise children independently. They cannot hold dual roles within the center. (e.g., Director & Lead Teacher, or Education Coordinator & Floater)
Family Child Care Provider
Licensed residential settings where care is provided for up to 6 children, or up to 8 children with an approved assistant. This does not include informal arrangements among neighbors, relatives, or occasional child care without compensation. Directly involved in the care, development, and education of children ages 6 weeks to 5 years, working 10-40 hours per week. Must be on the payroll of a child care center, family child care home, or group family child care home. Must be at least 18 years old, demonstrate a certain level of educational attainment, and be able to supervise children independently.
Floater
Employees in a child care center who are directly involved in the care, development, and education of children ages 6 weeks to 5 years, working 10-40 hours per week. Must be on the payroll of a child care center, family child care home, or group family child care home. Must be at least 18 years old, demonstrate a certain level of educational attainment, and be able to supervise children independently. They cannot hold dual roles within the center. (e.g., Director & Lead Teacher, or Education Coordinator & Floater)
MM slash DD slash YYYY
Months per year your program is in operation:(Required)

How often is the applicant paid:(Required)
How many months per year is the applicant paid?:(Required)

How many months per year does the applicant work?:(Required)

In addition to the employment verification above, please verify that you have read and understand the expectations below. Your signature on this application indicates your agreement to: Provide accurate, unbiased information to the Rhode Island Association for the Education of Young Children regarding teachers who have applied for the salary supplement. This information must include the following: date employment began, employee’s position in the center, employment status (full-time, part-time, permanent, or temporary), age group of children in the employee’s care, the employee’s current salary or hourly pay rate, and the average number of hours worked each week. This information must be submitted impartially, without influence from personal feelings or award outcomes. Employers are prohibited from using the Child Care WAGE$ RI program as leverage or a threat against employees. Continue to give all staff any regularly scheduled raises regardless of whether they receive a salary supplement. Child Care WAGE$ RI will not be used as the reason to withhold an otherwise scheduled raise. I am authorized to provide employment verification; the information provided on this form is true and accurate to the best of my knowledge.

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